Individual provider · Type 1 NPI
Timothy Michael Miller, LSW, LICDC-S
Addiction Medicine (Psychiatry & Neurology) Physician · Columbus, OH
Practice location
1441 Phale D. Hale Dr.
Columbus, OH 43203
Mailing address
11122 Gorsuch Rd
Galena, OH 43021-9633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | 001104 (OH) |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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About NPI 1528694643
Timothy Michael Miller, LSW, LICDC-S's National Provider Identifier is 1528694643, issued on Mar 20, 2020. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Columbus, OH. The record was last updated on Jul 21, 2022.